Chapter 1: Medical Necessity Flashcards
1
Q
What is the Medical Necessity?
A
A colonoscopy for a patient with a family history of colon cancer.
2
Q
If a patient tripped on a sidewalk has pain and receive an ankle X-ray, would this rule out an ankle fracture?
A
Yes, making it appropriate for the patient’s complaint of ankle pain.
3
Q
If a patient presented with a fever and sore throat, would an EKG be medically necessary?
A
No.
4
Q
To justify the medical necessity of all services and procedure, the patient’s medical record must be?
A
Accurate and complete.
